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1、多層螺旋CT診斷及鑒別診斷小腸疾病的臨床價值探討湖南省株洲市攸縣人民醫(yī)院放射科湖南攸縣412300【摘要】目的：探討分析多層螺旋CT診斷及鑒別診斷小腸疾病的臨床價值。方法：選取我院收治的疑為小腸疾病的患者110例為木次研究對象，所有患者均經(jīng)過胃腸道造影檢查以及多層螺旋CT檢查，與臨床確診結(jié)果進行比較兩種檢查方法的準確度，靈敏度，特異度。結(jié)果：口0例疑小腸疾病患者經(jīng)過手術(shù)病理組織檢查、內(nèi)鏡檢查等進行確診后，有78例患者確診為小腸疾病患者，占70.91%。其中腫瘤性疾病占21.79%,血管性疾病5.13%，炎癥性疾病39.73%,腸梗阻30.77%,其他2.56%O多
2、層螺旋CT檢查準確率為84.55%,靈敏度為78.21%,特異性為100%；消化道頓餐檢查準確率為61.82%,靈敏度為58.97%,特異性為68.75%；多層螺旋CT檢測的準確度，靈敏度，特異度都明顯高于消化道頓餐，P&t;0.05,具有統(tǒng)計學意義。結(jié)論：多層螺旋CT對小腸疾病診斷的準確率、靈敏度、特異性等都較高，對小腸內(nèi)以及周圍情況都可以進行全面的觀察，臨床輔助醫(yī)牛進行病情的診斷有重要的意義，值得臨床推廣。【關(guān)鍵詞】多層螺旋CT；診斷；鑒別；小腸疾病ClinicalValueofthemultisliceCTinthediagnosisanddifferent
3、ialdiagnosisofsmallintestinediseasesCHENZhigang,LEIMingjun,DINGZihua,YANGYu,LIUXiaoming(Theradiologydepartment,YouxianPeople’sHospitalofZhuzhouCity,Hunan,412300,China)Abstract：Objective：ToanalyzetheclinicalvalueofmultisliceCTinthediagnosisanddifferentialdiagnosisofsmallintestine
4、ldiseases.Methods：110casesofpatientswithsuspectedsmallboweldiseasewereselectedasthestudyobjects.AIIpatientshadgastrointestinalangiographyexaminationandmultisliceCTexamination.Accordingtotheclinicaldiagnosisresults,theaccuracy,sensitivity,spec訐icdegreesofthetwomethodswerecompared.Resul
5、ts：Amongthe110patientswithsuspectedsmallboweldisease,aftersurgeryhistopathologicexaminationandendoscopicexamination，78patientswerediagnosedwithintestinaldisease,account!ngfor70.91%.Ofthem,tumordiseasesaccountedfor21.79%,vasculardiseasefor5.13%,inflammatorydiseasefor39.73%,intestinalob
6、structionfor30.77%,andothersfor2.56%.AccordingtotheMultisliceCTexaminationresults,therewasanaccuracyof84.55%,sensitivityof78.21%,specificityof100%.Accordingtothegastrointestinalangiographyexaminationresults,therewasanaccuracyof61.82%,sensitivityof58.97%,specificityof68.75%.MultisliceC
7、Tdetectionshowedhigheraccuracy,sensitivity,specificdegreesthangastrointestinalangiographyexamination(P<0.05).Conclusion：MultisliceCTindiagnosisofintestinaldiseaseshadhighaccuracy,sensitivityandspecificity,andacomprehensiveobservationonsurrounclingcircumstancesintheintestine.Soithas
8、animp
